Queratitis micótica causada por Scedosporium apiospermum en paciente inmunocompetente

V. Galvis, R. Berrospi, A. Tello, D. Ramírez, D. Villarreal

Resultado de la investigación: Artículos / NotasArtículo Científicorevisión exhaustiva

2 Citas (Scopus)

Resumen

Clinical case: A 51 year-old immunocompetent male was referred due to presenting with a large corneal ulcer with hypopyon in the right eye. Topical amphotericin B, fluconazole and moxifloxacin, as well as oral itraconazole were initially indicated. Following the report of mycotic structures on staining, topical natamycin was started. The result of the culture was reported two weeks later as, Scedosporium apiospermum (S. apiospermum), and topical voriconazole was then added. The response to treatment was very slow, and took five weeks after receiving triple therapy (natamycin, voriconazole and fluconazole) and one dose of intrastromal voriconazole, for the hypopyon to disappear. The final outcome was successful, achieving healing of the ulcer. The patient is waiting for a corneal transplant. Discussion: A microbiological study is essential in patients in whom fungal keratitis is suspected. The treatment of choice against S. apiospermum is with voriconazole, but the combination of various antifungal agents may be required.

Título traducido de la contribuciónMycotic keratitis caused by Scedosporium apiospermum in an immunocompetent patient
Idioma originalEspañol
Páginas (desde-hasta)613-616
Número de páginas4
PublicaciónArchivos de la Sociedad Espanola de Oftalmologia
Volumen93
N.º12
DOI
EstadoPublicada - dic. 2018

Palabras clave

  • Antifungal medications
  • Corneal ulcer
  • Culture
  • Immunocompetent
  • Scedosporium apiospermum

Huella

Profundice en los temas de investigación de 'Queratitis micótica causada por Scedosporium apiospermum en paciente inmunocompetente'. En conjunto forman una huella única.

Citar esto